The Medicare Prescription Payment Plan is a new program for 2025 that will help people with Medicare prescription drug coverage (Part D) who have high out-of-pocket expenses. Individuals can spread out their medication costs in the form of monthly payments over the course of the plan year. 

This program allows you to pay out-of-pocket prescription drug costs in the form of capped monthly payments instead of all at once at the pharmacy to help you manage your Medicare Part D drug costs. There is no cost to participate in the Medicare Prescription Payment Plan. Participation is voluntary, and you can enroll in this program at any time.

If you select this payment option, each month you’ll continue to pay your plan premium (if you have one), and you’ll get a bill from Gold Kidney Health Plan to pay for your prescription drugs, instead of paying the pharmacy.  

You may request retroactive election into the Medicare Prescription Payment Program. In order to request a retroactive election, for covered prescription(s) you paid your cost share for, you must meet the following: 

You reasonably believe any delay in filling the prescription(s) due to the 24-hour timeframe requirement to process your program election may seriously jeopardize your life, health, or ability to function, and you request retroactive election within 72 hours of the date and time the urgent prescriptions(s) were billed to us at the pharmacy.

To find out more about the program and for examples on how monthly billing is calculated, please visit the website below.